A few observations made from recent comments in this thread:
I definitely admire Dr.
Carney's candidness and "medically-conservative" approach, and I believe he's performed enough procedures & corrections (stemming from other clinic's work) to formulate a very credible opinion on all-matters
Phalloplasty. As for his observation with
Ellanse, he isn't wrong about the contour irregularities, but I would caution readers to note that it was a matter of professional opinion, and not a condemnation of the filler itself (heck, he's injected
Ellanse prior to the FDA stating that it must be halted till trials are complete).
You see, all dermal fillers that require significant collagen production (i.e.
PMMA,
Ellanse, and
Radiesse) means there is an element of unpredictability in how that collagen may develop patient-to-patient; sure, much of this can be mitigated with proper injection technique, but there is always variability with the collagen. Also, it's difficult to know how rigorous each patient will follow post-op protocol, which too can lead to aesthetic irregularities. The "rubbery" feel is there (especially in larger volumes/multiple sessions), but is only detectable by those who know it's already inside of you, like you and your doctor (never has anyone here reported that a partner complained about a rubbery shaft). Like
PMMA, the added collagen thickens the skin, hence the "rubbery" feel when pinched. As someone who has some of the thickest skin via dermal fillers, I can tell you that I have had zero suspicion among double-digit partners.
As for their website's clarification on costs & procedures, I forwarded the feedback directly to their Offices and hope they'll provide some updates.
Lastly, the idea of posting "After" photos months later is a bit challenging. You'll find that
no Clinic publishes Before & After's outside a clinical setting, and that explains why the "after" photos are immediately post-op. Trying to ask your patients to send you
Dick pics from the comfort of their homes to publish online is both unprofessional and unscientific. Furthermore, if a patient comes in for a second round, that Clinical picture effectively becomes a "Before" photo. That's precisely why this forum's Progress Report section is so useful, it provides insight to would-be patients on more realistic, long-term expectations.
As for gauging long-term "after" results, these doctors do in-fact have a good grasp because many times these patients come in for a second round, meaning the doctor gets to examine his or her work long-term; also, I'm certain some patients send photos to their practitioner over months & years, and this site remains an invaluable source for comparison as well. In other words, most of these physicians are pretty familiar with the "final outcomes."